MEDICARE: CHRISTINE ANGELL BISHOP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	A5235	MD

General Provider Information

NPI Number	:	1073443008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE ANGELL BISHOP

Provider Business Mailing Address
First Line	:	5904 MEDORA RD
Second Line	:
City	:	LINTHICUM
State	:	MD
Zip	:	21090-2024
Country	:	US
Telephone Number	:	301-801-1401
Fax Number	:

Provider Business Practice Location Address
First Line	:	1576 MERRITT BLVD STE 7
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21222-2114
Country	:	US
Telephone Number	:	410-650-2145
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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